ESTIMATION OF RENAL FUNCTION RESERVE IN PERCUTANEOUS NEPHROLITHOTOMY OF CORAL NEPHROLITHIASIS
- Авторлар: Khasigov A.V.1, Belousov I.I1, Kogan M.I1
-
Мекемелер:
- Шығарылым: № 6 (2012)
- Беттер: 70-73
- Бөлім: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/279643
- ID: 279643
Дәйексөз келтіру
Ашық рұқсат
Рұқсат берілді
Аннотация
From November 2010 to December 2011, 56 patients with coral nephrolithiasis underwent percutaneous nephrolithotomy. To assess the renal function before surgery and before discharge (6 to 7 days after surgery), glomerular filtration rate (GFR) by Cockcroft-Gault equation was defined. Preoperative renal functional reserve was evaluated by method using a single oral loading of protein drugs. 46.4% of patients have decreased GFR before surgery, and before discharge the proportion of such patients was 39.3%. In 80% of patients with reduced GFR, postoperative filtering function of the kidneys in response to a protein load was increased, but did not reach the pre-operative no-load values, and in 7.5% of cases corresponded to a load indicators. Filtering function of the kidneys before discharge below baseline and load levels was observed only in 8.9% of cases. The data obtained in most cases allowed to predict GFR decline in the postoperative period in patients with coral nephrolithiasis. 87.5% of patients before surgery were characterized by the absence of renal functional reserve, but in 28.6% of patients in the postoperative period there was an increase in GFR, indicating the positive impact of endoscopic percutaneous nephrolithotomy on the functional state of the kidneys in the immediate postoperative period.
Негізгі сөздер
Толық мәтін
Әдебиет тізімі
- Лопаткин Н.А., Яненко Э.К., Мартов А.Г. и др. Оперативное лечение больных коралловидным нефролитиазом с использованием новых технологий. В кн.: Материалы XI съезда урологов России. М.; 2007. С. 512.
- Мартов А.Г., Крендель Б.М., Гущин Б.Л. и др. Рентгеноэндоскопическая хирургия коралловидных камней почки в сочетании с дистанционной литотрипсии. В кн.: Актуальные вопросы урологии и оперативной нефрологии: Сборник научных трудов, посвященных 70-летию кафедры урологии. М., 1994. С. 42-49.
- Frédéric Soucy, Raymond К., Mordechai Duvdevani et al. Percutaneous Nephrolithotomy for Staghorn Calculi: A Single Center's Experience over 15 Years. J. Endourol. 2009; 23(10): 1669-1673.
- Мартов А.Г., Ергаков Д.В., Андронов А. С. и др. Осложнения чрескожной нефролитолапаксии. В кн.: Достижения в лечении заболеваний верхних мочевых путей и стриктуры уретры: Материалы Пленума правления Российского общества урологов. (Екатеринбург, 2006). М., 2006. С. 144.
- Moskovitz В., Halachmi S., Sopov V. Effect of percutaneous nephrolithotripsy on renal function: assessment with quantitative SPECT of (99m)Tc-DMSA renal scintigraph. J. Endourol. 2006; 20 (2): 102-106.
- Акулин С.М., Яненко Э.К., Демин А.И. и др. Функциональное состояние почек после оперативных методов лечения больных коралловидными камнями. Урология. 2010;1:2-8.
- Lane B.R., Poggio E.D., Herts B.R. et al. Renal Function Assessment in the Era of Chronic Kidney Disease: Renewed Emphasison Renal Function Centered Patient Care. J. Urol. (Baltimore) 2009; 8:435-443.
- Brenner B.M., Levin S.A. Approaches to remission and regression of chronic renal diseases. J. Nephrol. 1999;3:81-83.
- Боженко А.И., Куксань Н.И., Боженко E.A. Методика определения почечного функционального резерва у человека. Нефрология. 2001;4:70-73.
- King A.J., Levey A.S. Dietary protein and renal function. J. Am. Soc. Nephrol. 1993;3:1723-1737.
- Bosch J.P., Saccaggi A., Lauer A. Renal functional reserve in humans. Amer. J. Med. 1983;75:943-950.
Қосымша файлдар
